HomeMy WebLinkAbout12-23-08 (5)COMMONWEALTH OF PEVNSV LVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
SCHWALB RAYMOND J
123 SOUTH 31ST STREET
CAMP HILL, PA 17011
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN:
FILE NUMBER: 2108-1274
DECEDENT NAME: SCHWALB DOROTHY R
DATE OF PAYMENT: 1 2/ 23/ 2008
POSTMARK DATE: 1 2/23/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 09/25/2008
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08155932 ~ 514.53
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2198
SEAL
INITIALS: CJ
RECEIVED BY:
514.53
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX111-961
INO. CD 010679
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE T,AX
INFORMATION NOTICE
AND FILE N0. 21- Z~~ ~~7~
BUREAU OF INDIVIDUAL TAxES TAXPAYER RESPONSE ACN 08155932
PD BOX 280601
HARRISBURG PA 17128-0601 DATE 11-25-2008
REV-1543 EX AFP COB-Oa)
EST. OF DOROTHY R SCHWALB
SSN
DATE OF DEATH 09.25-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
r-~ 3
REGISTER OF WILLS
RAYMOND J SCHWALB t
123 S 31ST ST CUMBERLAND CO COURT H0,_,
CAMP HILL PA 17011 CARLISLE, PA 170x3 "`--~ :~
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SOVEREIGN BANK provided the Department with the information below, which has been used:-Yn 'ralcul~,3ng the _ _~
potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/benefl~$arv of~,^~s account. -_
If you feel the information is incorrect, please obtain written correction from the financial institution, attaF#-h copy t6.Ihis fprm _
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of tli»~Commonweal~of
Pennsylvania. Please call (717) 7B7-8327 with questions.
COMPLETE FART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 2331030286 Date 12-09-1999 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 339.97 payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
Percent Taxable X 1D0.00
Amount Subject to Tax $ 339.97 months of tY~e decedent's date of death,
X 1 5 deduct a 5 percent discount on the tau due.
Tax Rate Any Inheritance Tax due will become delinquent
Potential Tax Due $ 51 • DD nine months after the date of death.
PART TAXPAYER RESPONSE
D FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies'of this notice to obtain
a discount or avoid interest, or check box "A" and return this notice to the Register of
C H E C K Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the F'ennsvlvania Inheritance Tax return
C ONE
0 N L Y to be filed by the estate representative.
C. ~ The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please st~~ataeN
relationship to decedent:
OUNTS
TAX RETURN - COMPUTATION
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1 TAX ON JOINT/TRUST ACC
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LINE 1. Date Establ 2 '~ 3 ~~ ~ ~ 7
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3. Percent Taxa
Tax
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5. Debts and
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6. Amount Taxa ~ X , C.~43-
7. Tax Rate
8. Tax Due
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DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ~
Under penalties of perjury,
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